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Music Lesson Registration
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* Indicates required question
Musician's full name
*
Your answer
Instrument
*
Piano
Acoustic Guitar
Electric Guitar
Drums
Sax
Bass
Other:
Parent cell number (if applicable)
No spaces, like this: 9165557777
Your answer
Parent name(s) (if applicable)
Your answer
Parent email (if applicable)
Your answer
Musician's date of birth
Your answer
Musician's cell number
No spaces, like this: 9165557777
Your answer
Musician's email
Your answer
Street address
Your answer
Zip code
Your answer
What days/times could be options for you? (Check out
this link
for current availability)
Your answer
What is your musical background? What are you most excited to learn? ...or maybe you don't know. That's okay too.
Your answer
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